
Loss of Volume & Sagging Jowls
Restore, Lift and Redefine
As we age, the face loses volume and definition, and skin begins to sag along the cheeks, jawline and jowls. We offer both instant volume restoration and treatments that lift and rebuild your own collagen, for a naturally refreshed, defined appearance without surgery.
Why it happens?
From our mid-20s we steadily lose facial fat, bone density, collagen and elastin. Cheek fat pads shift downward and the supporting structures weaken, creating jowls and a softer jawline. Non-surgical treatments work best for mild to moderate sagging; very heavy, hanging skin is better suited to surgery, and we'll always give you an honest assessment.
Jowls and sagging develop as several age-related changes combine. Collagen and elastin decline reduces skin firmness; cheek fat pads lose volume and shift downward; bone density decreases, removing underlying support; and the deeper structural layer weakens. Sun exposure and lifestyle accelerate the process, and significant weight loss can leave skin loose. Because the causes are structural as well as superficial, effective plans usually work on more than one layer.

The SŌMA Approach
SŌMA approaches sagging and jowls honestly. Non-surgical treatments can firm, lift and restore definition for mild to moderate laxity, and we're transparent when a concern would be better served by surgery. Our doctors combine volume restoration with lifting and collagen stimulation where appropriate, aiming for a natural, defined result rather than an over-treated look. Your individual plan is decided with your doctor.
How We Choose for You
As general guidance, early volume loss is often addressed by restoring structure, mild skin laxity by energy-based firming or collagen stimulation, and descended tissue by lifting approaches — frequently in combination. The right mix depends on your anatomy and degree of laxity, which your doctor assesses in person.
Treatments for Face Volume Loss & Sagging Jowls
From natural volume restoration to non-surgical lifting — tailored to your face.
How the treatments compare
Treatment | Best For | Downtime | Full results take up to | Longevity of results |
|---|---|---|---|---|
Why Choose SŌMA
Doctor-Performed Lifting
Non-surgical lifting is doctor-performed at SŌMA, never delegated. Led by Dr. Andrew Uidjaja (A4M-accredited, Master's in Anti-Aging Medicine), our team has treated thousands of patients and gives an honest assessment of what suits your degree of laxity.
Accredited & Licensed
As the only fully licensed specialist longevity clinic on the Bukit Peninsula, SŌMA holds the highest level of specialist clinic license in Indonesia and is the only clinic in Bali following Singapore standards of care, under the medical direction of Dr. Shirley Yuliana Kwee.
Personalised Care
Every treatment begins with a one-to-one doctor consultation to assess your concern and design a personalised plan — never a one-size-fits-all approach.
Results and expectations
Non-surgical lifting delivers meaningful but modest firming for mild to moderate laxity, with results typically building over 3-6 months and lasting around 12-18 months. It is not a substitute for a surgical facelift in advanced cases. Individual response varies, and your doctor will set honest expectations for your skin.





